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BioCryst Announces FDA Approval of ORLADEYO® (berotralstat) Oral Pellets, First and Only Oral Prophylactic Treatment for Patients with HAE Aged 2 to <12

BioCryst Pharmaceuticals, Inc. (BCRX) | Dec. 12, 2025

By Mia Evans

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BioCryst Pharmaceuticals, Inc. announced FDA approval of ORLADEYO oral pellets for pediatric patients with hereditary angioedema aged 2 to <12.

ORLADEYO is now the first and only targeted oral prophylactic therapy for this patient group, providing a child-friendly method of administration.

The approval was supported by positive interim data from the APeX-P clinical trial, demonstrating early and sustained reductions in monthly attack rates.

FDA Approval

FDA approved ORLADEYO oral pellets for prophylactic therapy in pediatric patients aged 2 to <12 with hereditary angioedema.

Patient Impact

Children with HAE now have an oral prophylactic option, reducing the burden of intravenous or subcutaneous injections.

Clinical Trial

APeX-P trial showed ORLADEYO's safety, tolerability, and efficacy in reducing monthly attack rates in pediatric patients with HAE.

  • The approval of ORLADEYO oral pellets marks a significant advancement in providing a convenient and effective treatment option for children with hereditary angioedema.
  • This approval expands the age range of patients benefiting from ORLADEYO, addressing the unmet need for younger HAE patients.
  • ORLADEYO's unique administration method aims to improve the quality of life for pediatric patients by offering a child-friendly oral formulation.

BioCryst's FDA approval of ORLADEYO oral pellets for pediatric patients with hereditary angioedema aged 2 to <12 represents a milestone in HAE treatment, offering a tailored and convenient prophylactic therapy option for children.